RESUMO
Right empyema developed, apparently secondary to anterior perforation of the esophagus into the right pleural cavity, in a neonate. Pathogenetic factors and management are discussed.
Assuntos
Perfuração Esofágica/diagnóstico , Doenças do Recém-Nascido/diagnóstico , Pleura/lesões , Drenagem , Empiema/etiologia , Perfuração Esofágica/etiologia , Perfuração Esofágica/cirurgia , Humanos , Recém-Nascido , Doenças do Recém-Nascido/etiologia , Doenças do Recém-Nascido/cirurgia , Masculino , Pleura/cirurgiaRESUMO
A prospective study was conducted of 100 consecutive admissions to the neonatal intensive care unit of the Hospital for Sick Children, Toronto, of infants with respiratory distress syndrome or transient tachypnea of the newborn. It was found that in 15% of cases the illness was completely preventable, being the result of unintentionally premature termination of pregnancy. Significant intrapartum asphyxia occurred in 44% of the infants in whom respiratory distress syndrome developed. Factors placing the pregnancy at high risk were present antenatally in most cases, and most of the deliveries took place in hospitals without adequate facilities or staff, or both, for the requirements of the infant at and following birth.
